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HomeMy WebLinkAbout192186 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363381 Page 1 of 1 ONE CIVIC SQUARE ON SITE GAS SYSTEMS, INC CHECK AMOUNT: $488.00 �o CARMEL, INDIANA 46032 35 BUDNEY ROAD NEW NGTON CT 06111 CHECK NUMBER: 192186 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4353099 14444 488.00 OTHER RENTAL LEASES ®2N2 SITE On Site Gas Systems, Inc. Manufactures Designers of Oxygen Nitrogen Generating Equipment 35 Budney Road, Budney Industrial Park, Newington, CT 06111 USA Telephone: 860.667.8888 Fax: 860.667.2222 www.onsitegas.com Invoice Number: 14444 InInvoice ��r� j�® Date: 11/1512010 YY IY er Page: 1 of 1 B CITY OF CARMEL S CARMEL FIRE DEPT I ONE CIVIC SQUARE H 2 CIVIC SQUARE L CARMEL IN 46032 -2584 1 CARMEL IN 46023 L USA P USA T T O O x �Gk° Purchase?Orderr,, Packa es. ]Pre aid Wei lit Shy tVia,`„ ",n Terms., L000000O14 12667 WA DUE UPON RECIEPT T_ i 'Qty ,t,' Back, i a t� °'F+" tiyr' e r a "EXtended Line /Rel u Qty Orlercd,Slpped'` Order .m' Date Shipped Unit Price Pr�ce.A 1 1.00 EA 1.00 0.00 8/7/09 488.00 488.00 Customer Item: Lease Nov 7, 2010 thru Dec 7, 2010 Item: L- 02FS -7 Serial 5362 Sales; °Amount 488.00 Misc Charges 0.00 Freight 0.00 488.00 VOUCHER NO. WARRANT N ALLOWED 20 On Site Gas Systems, Inc. IN SUM OF 35 Budney Road Newington, CT 06111 $488.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 14444 43- 530.99 $488.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except NOV 2 A Me Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 14444 $488.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer